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APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERfiTT <br /> BUILDING DMSION <br /> 3200 CEDAR STREfiT' � <br /> E��TT,WA 98201 <br /> 259-88 f 0 <br /> � I_SQ�P.i/ 53 ll ��7��� S L) ���s.s �+`— �,� yov? <br /> Owner Ma�l Address <br /> GtY. State/Zip Phone <br /> Temnt . Mail Address Ciry State/Zip . Phone <br /> .5�� o, r-sls,� n L�k���, �ef�,-7-- i�l � �, 5���, <br /> nixcna� c.ontnctor Ma�l Address Cdy �te/Zip Phone Shte I,icensa No. , <br /> .�.�o v ��.�L�,� <br /> Con nct Pnce of Work Proposed[lse af gwlding <br /> _ o�� � ,�t �� �p <br /> Project Address <br /> Descriptiou of Work ta Be Done: �/i� �. � �� y, w, '����� ����/ <br /> ' NOTE:WAC 296-46•140 REQUIRES'1�ipT pI,qNS FOR ELECCRICAL WORK AT EDUCATIONAL, INSTiTUTqONAL OR <br /> H&ALTH CAR& FACII.ITTES BE APPROVED BY'THE STAT& OF WASHINGTON. APPLICqN7�g WT('g SUCH JOBS • <br /> MUST SHOW THS STAT&APPROVED PLANS BEFORE CffY OF EVERET pERMIT WII;[,g&ISSUED. <br /> NOTE;WIRINf3 IA( NON-DWELLINGS IS REQUIREL TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HfiREBY CERTIFY'ITipT I HAV&REpD p1�TD EXAMINED TIiIS APPLICA'ITON AND KNpW THfi SpM&TO Bfi TRUE <br /> ANll CORRECI', pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNINp 'fHI3 1'yp& OF WORK W(I,[, gg <br /> COMPLETED WII'I; WFIEI'HER SPECIFIED HEREIN OR NOT. THE GRANTIN(3 OF A PERMIT DOES NOT PRESUMH <br /> TO GIVE qUTHpR[T'y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTfiER STATH OR LOCAL LpW <br /> REGULATTNG CONSTRUCTION OR THE PfiRFORMANCE OF CONSTRUCTION. 7TiAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TIi&WpI�{ FOR WHICH APPLICATION IS MADfi ANL) I COMPLY WITH <br /> 7H&STATE CON1'RpCI'ORS LAW 16.27 RCW AND 296.200 WAC. <br /> X �11I� „'—_ <br /> Signeturo <br /> Fee `-�� <br /> Date <br /> �i«err�isro» <br />